Individual provider · NPI-1

Abdulfatah Aman Ali, MT(ASCP), MA

Home Health · Portland, ME

NPI number1881905701
StatusActive
Last updated in NPPESMar 4, 2013

Details

NPI
1881905701
Entity type
Individual (NPI-1)
Name
Abdulfatah Aman Ali
Credential
MT(ASCP), MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2010
Last updated
Mar 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–MEYes
253Z00000X In Home Supportive Care––

Practice location

75 Bishop St
Portland, ME 04103-2614

Phone 207-510-7680 · Fax 866-381-5580

Mailing address

Po Box 3588
Portland, ME 04104-3588

Phone 207-344-5143 · Fax 866-381-5580

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